HomeMy WebLinkAboutBuilding Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OR/ 4/ 0 Permit Number: J�U U �
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Building Permit Application MAR 2 8 2022
Planning and Development Services St.,Lucie County
Building and Code Regulation Division Commercial X Residential Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
"PROPOSED,IMPROVEMENT LOCATION:
Address: 115 NE SOLIDA DR, PORT ST LUCIE, FL_34952
Property Tax ID#: 3419-565-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAI LED.DESCRIPTION OF WORK:;..
A CHAN -.FO iT (3 - 5 ton systems, 14 seer. 10kw heater
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION'INFO'RMATION:
Additional work to be performed under this permit—check all that apply:
X-Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 16600 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name FA11A11 Y CHI IRCH DUANE RICHARDS Name: RAARK MIRANDA
Address: 115 NF SOI IDA DR Company: HLGHTDWERA/C LLC
City: PORT ST LUCIE State:_FL Address: 145 S WARNER DR
Zip Code: 34952 Fax: City:'IFNSFN REAf'H State: FL
Phone No.570_Rn1-5455 E- Zip Code:34957 Fax:
Mail: DRICKARDSaGOFAMILYCHLIRCH_ORG Phone No 772AR6-3841
Fill in fee simple Title Holder on next page(if different E-Mail M.1 MIRANDA 4ATT NET
from the Owner listed above) State or County License 13IAIP
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any,applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property.A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsitq before the first inspection. If you intend to obtain financing,consult
with lender or an attorneybeforee mmencin work or recording our Notice of Commencement.
Signature C n actor- r-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF M t,-+k n
Sworn t,$�,or affirmed)and subscribed before me of Physical Presence or Online Notarization
this�A+ day of h4a r� ,20 Eby (4etrK
Name of person making statement.
Personally Known OR Produced Iderltification
Type of Identification Produced -F _L L—
G
(Signature of Notary Public-State of Florida)
Commission No. *54-� (Seal) ,, :Notary
HARMAINEGRANT
Public,State 1 Florida
mmission#HH 163483
mm.expires Aug.10,2025
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